Leejia Mary Abraham, PHARM D
Individual provider Active NPI Pharmacist · Dallas, TX
NPI 1982931937 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1982931937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43953 (TX)
- Practice address
- 6515 Abrams Rd
Dallas, TX 75231-7207 - Phone
- (214) 341-0861
- Fax
- (214) 341-4314
- NPI assigned
- Nov 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43953 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43953 | TX | Yes |
Addresses
Primary practice location
6515 Abrams Rd
Dallas, TX 75231-7207
Mailing address
6515 Abrams Rd
Dallas, TX 75231-7207
Phone (214) 341-0861
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.